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2024 CCRN PRACTICE TEST EXAM WITH CORRECT ANSWERS
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2024 CCRN PRACTICE TEST EXAM WITH CORRECT ANSWERS
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2024 CCRN PRACTICE TEST EXAMWITH CORRECT ANSWERS
The patient has flushed dry skin and eyes are flickering up and down. Pupils
are 3 mm dilated and equally reactive to light. While waiting for toxicology
results, the nurse should suspect that the patient overdosed on
A. LSD
B. PCP
C. metheampahtimes
D. Heroin - CORRECT-ANSWERSB. PCP
Which one of the following is the definitive procedure for diagnosing
pulmonary emboli?
A. ABG measurement
B. radioisotope lung scan
C. pulmonary angiography
D. CXR - CORRECT-ANSWERSC. pulmonary angiography
A patient with respiratory failure secondary to the PNA appears confused and
lethargic. The patient takes NSAIDs for arthritis. At present, BP and CVP are
within acceptable ranges, mucous membranes are moist and skin turgor is
normal. The serum sodium is 129 mEq/L, and serum osmolality is low. Which
of the following additional laboratory findings should the nurse anticipate?
A. decrease serum bicarb and potassium levels
B. elevated serum glucose and creatinine levels
C. elevated uric acid and normal magnesium levels
D. decreased BUN and normal serum potassium levels - CORRECT-
ANSWERSD. decreased BUN and normal serum potassium levels
(euvolemic hyponatremia- SIADH?)
Acute lung injury (ALI) is characterized by - CORRECT-ANSWERSan
antecedent event, refractory hypoxemia and tachypnea
Tow hours after a complicated premature delivery with placenta abruptio,
the nurse notes that the puncture wound from the patient's recent
venipuncture is continuously bleeding. Which of the following laboratory
tests should the nurse anticipate obtaining?
,A. ionized Ca and pitocin levels
B. PT and D-dimer
C. fibrin split product and magnesium
D. D-dimer nad Factor IX assay - CORRECT-ANSWERSB. PT and D-dimer (help
diagnose DIC)
Cor pulmonale is characterized by - CORRECT-ANSWERSenlargement of the
right ventricle secondary to pulmonary disease (common in COPD)
Left ventricular failure can be caused by which of the following?
A. aortic regurgitation and HTN
B. aortic stenosis and COPD
C. mitral regurgitation and pulmonary embolus
D. mitral stenosis and AMI - CORRECT-ANSWERSA. aortic regurgitation and
HTN
In a patient who has just sustained a severed head injury in a high-speed
motor vehicle crash, which of the following should be a high-priority concern?
A. myocardial contusion
B. cervical injury
C. diabetes
D. status epilepticus - CORRECT-ANSWERSB. cervical injury
A patient is admitted after a motor vehicle crash. The patient is currently
alert and oriented but had sustained a momentary loss of consciousness at
the accident scene. The only significant injury is a linear temporal skill
fracture. Within 2 hours of admission, the patient's neurological status
deteriorates. The nurse should anticipate
A. arteriography and silicone rubber bead embolization
B. ventricular and CSF drainage
C. osmotic diuretic and corticosteroid therapy
D. burr holes and clot evacuation - CORRECT-ANSWERSD. burr holes and clot
evacuation (risk factors for epidural hematoma which requires immediate
surgical intervention to remove clot)
A patient is admitted postoperative following repair of an AAA with a Dacron
graft. The next day, the patient's urine output decreases and serum
creatinine increases the nurse should suspect
A. acute renal failure
B. septic shock
C. acute rejection graft
,D. glomerulonephritis - CORRECT-ANSWERSA. acute renal failure
Which of the following nursing actions might decrease a patient's self
esteem?
A. discussing the negative consequences of the patient's condition
B. requiring the patient to participate in all treatments
C. providing opportunities to discuss issues important to the patient
D. indicating acceptance pf the patient's condition - CORRECT-ANSWERSB.
requiring the patient to participate in all treatments
The BAG results on a 60 kg pt being mechanically ventilated during an
episode of acute respiratory failure are:
pH 7.43
pCO2 34
pO2 84
HCO3 25
Rate 12 breaths/min
Vt 600 ml
fiO2 60%
PEEP 5 cm H20
The most appropriate action the nurse should do
A. increase fiO2
B. decrease the rate
C. decrease the tidal volume
D. increase the PEEP - CORRECT-ANSWERSC. decrease the tidal volume
(normal Vt= 608 mL/kg)
Findings consistent with renal hypo-perfusion include - CORRECT-
ANSWERSurine sodium less than 10 and urine osmolality greater than serum
osmolality
Which of the following ABG results indicates acute respiratory failure?
A. pH 7.22, pCO2 48, pO2 82, HCO3 12, O2 sat 92
B. pH 7.24, pCO2 54, pO2 55, HCO3 22, O2 sat 76
C. pH 7.52, pCO2 28, pO2 76, HCO3 30, O2 sat 82
D. pH 7.36, pCO@ 24, pO2 55, HCO3 16, O2 sat 70 - CORRECT-ANSWERSB.
pH 7.24, pCO2 54, pO2 55, HCO3 22, O2 sat 76
(pO2 < 60, pCO2 > 45)
Which of the following is a complication of HTN crisis?
, A. LV hypertrophy
B. cerebral infarct
C. aortic dissection
D. LV failure - CORRECT-ANSWERSB. cerebral infarct
Hemodynamic data for sepsis - CORRECT-ANSWERSPAOP <8, SVR < 800,
SvO2 > 75%
A victim of motor vehicle crash is admitted with an acute intracranial bleed.
The patient has hypotension and tachycardia. These findings are most likely
result of
A. shock from multiple trauma
B. extensive bleeding into intracranial vault
C. neuro shock
D. increased ICP - CORRECT-ANSWERSA. shock from multiple trauma
The primary purpose of continuous venovenous hemofiltration (CVVH) is to -
CORRECT-ANSWERSoptimize fluid removal
One month after VP shunt placement, a patient is admitted with the IUC with
positive Kernig's sign and positive Brudzinski's sign. These signs indicate -
CORRECT-ANSWERSa CNS infection aka meningitis
A patient is admitted with chest pain and nausea. The ECG shows new deep
Q waves in leads I, aVL, and V5-V6. The patient ECG pattern is most
consistent with a diagnosis of - CORRECT-ANSWERSlateral wall MI
Which of the following is a normal compensatory response to a decrease in
CO?
A. increased O2 delivery
B. decreased O2 consumption
C. increased O2 extraction
D. decrease serum lactate - CORRECT-ANSWERSC. increased O2 extraction
Primary pharm management of the patient with sepsis inlcudes admin of -
CORRECT-ANSWERSantibiotics
Which of the following is most likely a complication of GBS?
A. acute resp faiure
B. acute pulmonary edema
C. acute lung injury
D. acute pulmonary fibrosis - CORRECT-ANSWERSA. acute resp faiure
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